CPT code 95806: Sleep study, heart rate and respiratory signals2026 Medicare rate & RVUs

Medicare pays $103.21 for 95806 nationally in the office. Local office rates run $92.25–$136.92.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95806 covers

This unattended test records heart rate, oxygen saturation, respiratory airflow, and respiratory effort at the same time. It is commonly performed with a portable monitor in a patient’s home to evaluate suspected sleep-disordered breathing, including obstructive sleep apnea. Clinical staff may prepare the equipment and instruct the patient, while a qualified practitioner interprets the recorded data. The patient is not continuously attended by a technologist during the recording.

Select this code when the study includes the specified combination of signals; document the test performed and retain the recording and interpretation. It differs from unattended studies with other signal sets and from attended laboratory studies. The global service is billed without a component modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the equipment and staff component; CMS separately prices both modifiers.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 95806 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95806 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95806 rate is calculated

Each of 95806’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 95806

The CMS indicators that decide how 95806 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95806 compared with similar codes

How to choose

95800Home sleep studyUnattended, includes sleep time

Both are unattended sleep studies, but 95800 includes sleep-time measurement. This code is identified by simultaneous heart-rate, oxygen-saturation, airflow, and respiratory-effort recording.

95801Sleep studyUnattended, limited channels

Code 95801 allows a minimum of three channels with respiratory-analysis signal choices. Choose this code when the recorded study includes its specified four-signal combination.

95807Sleep studyTechnologist-attended recording

Code 95807 is an attended sleep study. This code describes an unattended recording, commonly collected with a portable monitor.

95810Sleep studyAge six or older, attended

Code 95810 is attended laboratory polysomnography for patients age six or older, with four or more parameters. This code is for the specified unattended cardiorespiratory recording.

Codes related to 95806

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates